Felipe, Justo

Felipe, Justo was paid $2K by Medicaid between Dec 2018 and Feb 2022, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoFELIPE, JUSTO
HIALEAH, FL 33012

33aNPI1992878144assigned 11/16/2006

33bProvider typeOphthalmology Physician

28Total paid$2K

24GClaims3,647

24DCodes billed8

24AFirst – last monthDec 2018 – Feb 2022

Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#187 of 262

Median peer was paid$9K

This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	121	$11.76
2019	2,111	$306.08
2020	731	$78.54
2021	582	$890.25
2022	102	$214.37

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	37%	373	368	$548.52
92015	Determination of refractive state	19%	976	834	$283.89
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	18%	575	567	$269.36
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	14%	244	238	$213.52
1160F		6.4%	781	746	$96.67
1159F		5.9%	590	565	$89.04
5010F		0%	54	49	$0.00
2022F		0%	54	49	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.